Active NPI
Tullio Emanuele, M.D.
- Interventional Cardiology Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 39597
- Practice address
- 427 US 31W Byp
Bowling Green, KY 42101-1703 - Phone
- (270) 904-0657
- Fax
- (270) 904-1746
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD39597 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 39597 | KY | Primary |
Addresses
Primary practice location
427 US 31W Byp
Bowling Green, KY 42101-1703
Mailing address
PO Box 808
Bowling Green, KY 42102-0808
Phone (270) 904-0657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64127251 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD39597 | KY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Interventional Cardiology | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Regional Health Services Inc | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
Interoperability endpoints
- tullio.emanuele.1@8478.direct.athenahealth.com
- tullio.emanuele@phoebehealth.gadirect.net
- tullio.emanuele.1@19475.direct.athenahealth.com
- temanuelemd348549@carlehiedirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
Interventional Cardiology
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1083655047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421020808",
"telephone_number": "270-904-0657",
"fax_number": "270-904-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011703",
"telephone_number": "270-904-0657",
"fax_number": "270-904-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUELE",
"first_name": "TULLIO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "MD39597",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "39597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64127251",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.